Fibromyalgia In The Elderly

From Anvita Health Wiki

Contents 1 Etiology 2 Epidemiology 3 Clinical-manifestations 4 Management 5 More General Terms 6 References

Etiology

• risk factors

• lower level of formal education
• less physical activity

• association with diseases that limit physical activity

• depression
• disability

Epidemiology

• prevalence increases with age

• highest prevalence 60-79 years of age
• > 7% of women 60-79 years of age

• more common in women

• 5.9% in women > 80 years of age
• 1.1% in men > 80 years of age

Clinical-manifestations

• generalized somatic complaints
• irritable bowel syndrome
• irritable bladder syndrome
• headaches
• symptoms of temporomandibular joint ( TMJ) syndrome
• fatigue
• neuralgias/ arthralgias
• anxiety/ depression
• restless legs syndrome

Management

• avoid costly testing
• avoid overtreatment ( opiates, steroids)
• patient education
• exercise, stretching
• treat depression
• cognitive behavioral therapy

More General Terms

• geriatrics
• fibromyalgia syndrome (fibromyositis, fibrositis)

References

Weiner S, In: UCLA Intensive Course in Geriatric Medicine  & Board Review, Marina Del Ray, CA, Sept 12-15, 2001

fibromyalgia in the elderly